Individual provider Active NPI

Sienna-Morgan G Glavin, PT, DPT

  • Physical Therapist
  • Augusta, ME
National Provider Identifier
1669957437
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5559 Issued in ME
Practice address
40 Glenridge Dr
Augusta, ME 04330-6606
Phone
(207) 626-2600
NPI assigned
Sep 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X PT5559 ME Primary

Addresses

Primary practice location

40 Glenridge Dr
Augusta, ME 04330-6606

Mailing address

608 Delaware County Highway 11
Oneonta, NY 13820-4226
Phone (607) 287-3702

Other practice location 1

40 Glenridge Dr
Augusta, ME 04330
Phone (207) 626-2600

Other practice location 2

1529 Nye Rd
Lyons, NY 14489-9111
Phone (315) 946-5673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT5559MEMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1669957437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 DELAWARE COUNTY HIGHWAY 11",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138204226",
            "telephone_number": "607-287-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 GLENRIDGE DR",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043306606",
            "telephone_number": "207-626-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Glenridge Dr",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "ME",
            "postal_code": "04330",
            "country_code": "US",
            "telephone_number": "207-626-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1529 Nye Rd",
            "address_purpose": "LOCATION",
            "city": "Lyons",
            "state": "NY",
            "postal_code": "144899111",
            "country_code": "US",
            "telephone_number": "315-946-5673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLAVIN",
        "first_name": "SIENNA-MORGAN",
        "middle_name": "G",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT5559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.